Organization
BWDME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKLAUS KARL RENDLER RENDLER (MANAGER)
(719) 766-9017
Entity
Organization
Contact information
Practice address
401 MICHIGAN ST, PUEBLO, CO 81004-2138
(719) 766-9017
Mailing address
401 MICHIGAN ST, PUEBLO, CO 81004-2138
(719) 766-9017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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